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International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: https://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2014, 2(6), 179-183
DOI: 10.12691/ijdsr-2-6-15
Open AccessCase Report

Endodontic Management and Cone Beam Computed Tomography Assessment in a Four Rooted Maxillary First Molar

Vinoth kumar Deepa1, and Kasinathan Subbaiah Satheesh Kumar1

1Department of Conservative dentistry and Endodontics, Rajah Muthiah Dental college and Hospital, Annamalai university, Tamil Nadu, India

Pub. Date: December 07, 2014
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Cite this paper:
Vinoth kumar Deepa and Kasinathan Subbaiah Satheesh Kumar. Endodontic Management and Cone Beam Computed Tomography Assessment in a Four Rooted Maxillary First Molar. International Journal of Dental Sciences and Research. 2014; 2(6):179-183. doi: 10.12691/ijdsr-2-6-15

Abstract

The success of endodontic treatment not only lies in meticulous cleaning, perfect shaping and precise filling of canels, it also embodies vital importance on familiarity of unusual root canal patterns. This article presents a case report of a maxillary first molar that had two separate palatal roots with distinct canals and also an invitro assessment of an extracted tooth which had a a similar root canal morphology using cone beam computed tomography (CBCT). Both of them highlight the importance of knowing the anatomical variations to achieve a functional and biological favourable outcome in endodontic treatment.

Keywords:
 maxillary first molar endodontic treatment cone beam computed tomography (CBCT) root canal morphology

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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References:

[1]  Kottoor J, Velmurugan N and Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone – beam computed tomography scanning: A case report. J Endod. 2011; 37 (5):715-719.
 
[2]  Baratto-Filho F, Zaitter S , Haragushiku GA , De Campos EA, Abuabara A et al. Analysis Of The Internal Anatomy Of Maxillary First Molars By Using Different Methods. J Endod. 2009; 35 (3): 337-342.
 
[3]  Hulsmann M. A Maxillary First Molar with Two Disto-buccal Root Canals. J Endod. 1997; 23 (11): 707-708.
 
[4]  Karthikeyan K and Mahalakshmi S. New Nomenclature For Extra Canals Based On Four Reported Cases Of Maxillary First Molars With Six Canals:A Case Report. J Endod. 2010; 36(6): 1073-1077.
 
[5]  Adanir N. An unusual maxillary first molar with four roots and six canals: a case report. Aust Dent J. 2007; 52(4): 333-335.
 
[6]  Bond JL, Hartwell G and Portell FR. Maxillary First Molar with Six Canals. J Endod. 1988; 14 (5): 258-260.
 
[7]  Wong M. Maxillary First Molar with Three Palatal Canals. J Endod. 1991; 17(6): 298-299.
 
[8]  Stropko JJ. Canal Morphology of Maxillary Molars: Clinical Observations of Canal Configurations. J Endod. 1999; 25 (6): 446-450.
 
[9]  Cleghorn BM, Christie WH, Cecilia C and Dong S. Root and Root Canal Morphology of the Human Permanent Maxillary First Molar: A Literature Review. J Endod. 2006; 32 (9): 813-820.
 
[10]  Christie WH, Peikoff and Fogel FH. Maxillary Molars with Two Palatal Roots: A Retrospective Clinical Study. J Endod. 1991; 17(2): 80-84.
 
[11]  Gopikrishna V, Bhargavi N and Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: a case report. J Endod. 2006; 32(7): 687-691.
 
[12]  Cobankara FK, Terlemez A and Orucoglu H. Maxillary first molar with an unusual morphology: report of a rare case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(6): 62-65.
 
[13]  Ma L, Chen J and Wang H. Root canal treatment in an unusual maxillary first molar diagnosed with the aid of spiral computerized tomography and in vitro sectioning: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107 (6): 68-73.
 
[14]  Beatty RG. A Five-canal Maxillary First Molar. J Endod. 1984; 10(4): 156-157.
 
[15]  Martins JNR and Anderson C. Endodontic treatment of the maxillary first molar with five root canals – Three case reports.Rev Port Estomatol Med Dent Cir Maxilofac. 2013; 54(1): 37-42.
 
[16]  Cecic P, Hartwell G and Bellizzi R. The Multiple Root Canal System in the Maxillary First Molar: A Case Report. J Endod. 1982; 8(3): 113-115.
 
[17]  Mirdha N and Ponnapa KC. Endodontic Management of Maxillary First Molar with 2 Palatal And 3 Buccal Canals And Associated With Multiple Space Infections. International Oral Health Journal. 2011; 3(3): 31-36.
 
[18]  Aggarwal V, Singla M, Logani A and Shah N. Endodontic management of a maxillary first molar with two palatal canals with the aid of spiral computed tomography: a case report. J Endod. 2009; 35(1): 137-139.
 
[19]  Albuquerque DV, Kottoor J, Dham S, Velmurugan N , Abarajithan M and  Sudha R. Endodontic management of maxillary permanent first molar with 6 root canals: 3 case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 110(4): 79-83.
 
[20]  Martinez-Berna A and Ruiz-Badanelli P. Maxillary first molars with six canals. J Endod. 1983; 9(9): 375-381.
 
[21]  Karthikeyan K and Mahalakshmi S. New Nomenclature For Extra Canals Based On Four Reported Cases Of Maxillary First Molars With Six Canals: A Case Report.J Endod. 2010; 36(6): 1073-1078.
 
[22]  Kottoor J ,Velmurugan N, Sudha R and Hemamalathi S. Maxillary first molar with seven root canals diagnosed with cone-beam computed tomography scanning: a case report. J Endod. 2010; 36(5): 915-921.
 
[23]  Dankner E, Friedman S and Stabholz A. Bilateral C shape configuration in maxillary first molars. J Endod. 1990; 16(12): 601-603.
 
[24]  Yilmaz Z, Tuncel B, Serper A and Calt S. C-Shaped root canal in a maxillary first molar: a case report. Int Endod J. 2006; 39(2): 162-166.
 
[25]  Malagnino V, Gallottini L and Passariello P. Some unusual clinical cases on root anatomy of permanent maxillary molars. J Endod. 1997; 23(2): 127-128.
 
[26]  Gopikrishna V, Reuben J and Kandaswamy D. Endodontic management of a maxillary first molar with two palatal roots and a single fused buccal root diagnosed with spiral computed tomography—a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105(4): 74-78.
 
[27]  Thews ME , Kemp WB and Jones Richmond CR. Aberrations in Palatal Root and Root Canal Morphology of Two Maxillary First Molars. J Endod. 1979; 5(3): 94- 96.
 
[28]  Di Fiore Peter M. A Four-Rooted Quadrangular Maxillary Molar. J Endod. 1999; 2 (10): 695-697.
 
[29]  Jacobsen EL and Nii C. Unusual palatal root canal morphology in maxillary molars. Endod Dent Traumatol. 1994; 10(1): 19-22.
 
[30]  Baratto-Filho F, Fariniuk LF, Ferreira EL, Pecora JD, Cruz-Filho AM and Sousa-Neto MD. Clinical and Macroscopic Study Of Maxillary Molars With Two Palatal Roots. Int Endod J. 2002; 35(9): 796-801.
 
[31]  Baroni Barbizam JV, Ribeiro RG and Filho MT. Unusual Anatomy of Permanent Maxillary Molars. J Endod. 2004; 30(9): 668-671.
 
[32]  Reddy SJ, Ravichandra PV, Rajani P and Santhoshi L. Palatal Possibilities:Variations of Palatal Root Canal Configuration In Maxillary Molars-A Report Of Two Cases. Int. Journal of Contemporary Dentistry. 2011; 2(2): 85-90.
 
[33]  Mathew J, Devadathan A, Jacob J, Syriac G and Augustine JC. Root canal treatment of a maxillary first molar with an unusual presentation of two palatal roots. Health Sciences. 2013; 2(3): 1-8.
 
[34]  Harris WE. Unusual Root Canal Anatomy in A Maxillary Molar. J Endod. 1980; 6 (5): 573-575.
 
[35]  Holtzman L. Multiple Canal Morphology In The Maxillary First Molar:Case Reports. Quintessence Int. 1997; 28(7): 453-455.
 
[36]  Maggiore F, Jou YT and Kim S. A six-canal maxillary first molar: case report. Int Endod J. 2002; 35(5): 486-491.
 
[37]  Holderrieth S and Gernhardt CR. Maxillary Molars with Morphologic Variations Of The Palatal Root Canals: A Report of Four Cases. J Endod. 2009; 35(7): 1061-1065.
 
[38]  Deepalakshmi M, Miglani R, Indira R and Ramachandran S. Spiral CT diagnosis and endodontic management of an anatomically variant palatal root with two canals in a maxillary first molar. Indian J Dent Res.2010; 21(3): 443-445.
 
[39]  Johal S. Unusual maxillary first molar with 2 palatal canals within a single root: a case report. J Can Dent Assoc.2001; 67(4): 211-214.
 
[40]  Yeganeh LA, Adel M, Vahedi R and  Tofangchiha M. Endodontic Management Of A Maxillary First Molar With Two Palatal Canals And A Single Buccal Canal: A Case Report. Case Reports in Dentistry. 2012: 1-4.
 
[41]  Krasner P and Henry JK. Anatomy of the Pulp Chamber Floor. J Endod. 2004; 30(1): 5-15.
 
[42]  Patel S. New dimensions in endodontic imaging: part2. Cone beam computed tomography. Int Endod J. 2009; 42(6): 463-475.
 
[43]  Michetti J, Maret D, Mallet JP and Diemer F. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod. 2010; 36(7): 1187-1190.
 
[44]  Neelakantan P, Subbarao C, Ahuja R, Subbarao CV and Gutmann JL. Cone beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod. 2010; 36(10): 1622-1627.
 
[45]  Libfeld H and Rotstein I. Incidence of Four-rooted Maxillary Second Molars: Literature Review and Radiographic Survey of 1,200 Teeth. J Endod. 1989; 15(3): 129-131.
 
[46]  Pecora JD, Woelfel JB, Sousa Neto MD and Pacheco E. Morphologic Study of Maxillary Molars part II: Internal Anatomy. Braz Dent J. 1992; 3(1): 53-57.
 
[47]  Sempira HN and Hartwell GR. Frequency of Second Mesiobuccal Canals in Maxillary Molars as Determined by Use of an Operating Microscope: A Clinical Study. J Endod. 2000; 26(11): 673-674.
 
[48]  Versiani MA, Pecora MD and De Sousa-Neto. Root and Root canal Morphology of Four- rooted Maxillary second Molars: A Micro- Computed Tomography Study. J Endod.2012; 38(7): 977-982.
 
[49]  Corcoran J, Apicella MJ and Mines P. The Effect of Operator Experience in Locating Additional Canals In Maxillary First Molars. J Endod. 2007; 33(1): 15-17.
 
[50]  Peikoff MD, Christie WH and Fogel HM. The maxillary second molar: Variations in the number of roots and canals. Int Endod J. 1996; 29(6): 365-369.
 
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